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OCP Adults > Test 2: Orthopedic Intervention > Flashcards

Test 2: Orthopedic Intervention Flashcards

1
Q

What is the over-arching goal of orthopedic interventions??

A

To Achieve MAXIMAL function of the body and affected extremities to: restore functional performance

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2
Q

What is the proper ROM sequence?

A

– PROM -> AAROM -> AROM

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3
Q

What is the goal during the acute phase of orthopedic intervention?

A

• Relieve pain, decrease swelling and inflammation • Promote wound healing – Wound care • Maintain joint or limb alignment • Restore function to injury location • Modify the activity

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4
Q

What is the goal during the chronic phase of orthopedic intervention?

A

• Same as above with more emphasis on functional return • Posture education • Body Mechanics • Modify the activity • individualized

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5
Q

Every shoulder intervention should include?

A

Scapular mobilization

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6
Q

Is there a difference between Passive ROM and Passive stretching?

A

Yes

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7
Q

True or false, shoulder exercises should be pain-free

A

True

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8
Q

Increasing shoulder strength and ROM should be done through

A

Functional Activities

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9
Q

Shoulder intervention progression

A

Isometrics -> isotonics -> Functional Activities

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10
Q

The Surgical Shoulder common treatment modalities?

A

• PROM to AAROM exercises • Cold Packs or other modalities • Edema Control • Pulleys • Scapular Mobilization • Joint Mobilization

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11
Q

For a rotator cuff tear, the client will wear an abduction pillow brace for ___ weeks post op

A

4-6 weeks

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12
Q

Concerns for RTC tear

A

• Typically will follow a protocol for progression of ROM and degrees allowed • Axilla region hygiene • Codman’s Pendulums

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13
Q

Phase 1 • Joint mobilization

• Phase 2-frozen – Dull ache with active movements, sharp pain at end range (4-12 months)

A

Freezing

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14
Q

The pain during phase 1 of adhesive capsulitis lasts for how long?

A

2-9 months

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15
Q

Phase 2 of adhesive capsulitis is the ___ stage

A

Frozen

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16
Q

Interventions during phase 1 of adhesive capsulitis include?

A

• Pain free ROM • Pain free stretches • Isometric Strengthening • Activity Modifications • Scapular Mobilization

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17
Q

Interventions during phase 2 of adhesive capsulitis include?

A

• progressive prolonged stretching • Joint Mobilization • Scapular Mobilization • Shoulder Dynasplint • Strengthening • Activity Modifications

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18
Q

The pain during phase 2 of adhesive capsulitis is ____ in nature with sharp pain at _____ for __ - __ months

A

Dull, end range, 4-12

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19
Q

• Phase 3 , joint motion and strength returns (6-9 months) •

A

thawing

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20
Q

Pain ____ during phase 3 of adhesive capsulitis

A

subsides

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21
Q

During phase 3 of adhesive capsulitis, joint motion and strength returns at around __-__ months

A

6-9 months

22
Q

Treatment during phase 3 of adhesive capsulitis

A

Continue Joint Mobilization • Continue Scapular Mobilization as needed • Progress strengthening and stretching • Restore GH and scapular rhythm • Functional Activities

23
Q

TENS is a type of electrical stimulation used to treat ____

A

Adhesive capsulitis

24
Q

Treatment for adhesive capsulitis

A

TENS, Heat and ice before and after exercises, deep breathing and relaxation exercises

25
Q

Total shoulder replacements typically follow a protocol as per ___

A

physician

26
Q

___ region hygiene is a big concern for total shoulder replacement clients

A

axilla

27
Q

_____ after total shoulder replacement is limited as per physician

A

Rotation

28
Q

What tendon is commonly incised after a total shoulder replacement

A

Subscapularis Tendon

29
Q

Total shoulder replacement treatment modalities

A

Scapular Mobilization • Typically in a Sling adducted to side in Internal Rotation • ROM progression as per protocol • Strengthening progression as per protocol • Edema control • Joints Above and Below • Codman’s Pendulum Exercises

30
Q

Reverse total shoulder gives ____ in early rehab but worse ______ than regular total shoulder.

A

less difficulty

end ROM

31
Q

____ is the most common orthopedic elbow problem

A

Tendonitis/osis

32
Q

Intervention strategies for elbow pathologies

A

• Activity Modification • Ice or other modalities • CFM • Flexibility exercises • Ergonomics • Strengthening Progression • Functional Activity training
• Strengthen proximally- shoulders and reinforce good posture
As well as upper and lower arm musculature

33
Q

Built up handles/utensils are used for what orthopedic issue?

A

Lateral and Medial Epicondylitis

34
Q

With medial epicondylitis, the wrist is splinted in ___

A

Neutral

35
Q

Treatment for Lateral and Medial Epicondylitis includes ____ strengthening

A

Proximal

36
Q

Treatment for Lateral and Medial Epicondylitis includes ____ strengthening

A

Proximal

37
Q

Counter-force strap over flexor or extensor muscle bundles are commonly used for

A

Lateral and Medial Epicondylitis

38
Q

For UE fracture Interventions treatment can begin ____

A

as soon as the cast is applied or after reduction

39
Q

Timing, amount and kind of activity for UE treatment depends on ____

A

the location and severity of fracture and potential age of client

40
Q

Activity modification for UE fractures includes doing activities ___

A

One handed

41
Q

UE fracture interventions include

A

• Activity Modification – one handed
• ROM
• Codman’s exercises • Joints above and below
Fracture Interventions • Modalities • Control Edema • Massage • Joint Mobilization • Strengthening • Elbow • Typically splinted in 90 degrees of flexion. Why? • Pronation and supination are emphasized.

42
Q

For UE elbow fractures the elbow is typically splinted in ___ degrees

A

90

43
Q

___ and ___ are emphasized with elbow fractures

A

Pronation and supination

44
Q

Most activities are performed between ___ and __⁰ of flexion Shoulder • Reach Perineum – 75-90º Hor Abd, 30-45º abd, 90+º IR • Tuck in Shirt – 50-60º Hor Abd, 55-65º Abd, 90º IR • Put something on a shelf – 70-80º Flex, 45º ER

A

30 to 130

45
Q

Most activities are performed at ___ of pronation and supination

A

50⁰

46
Q

To reach behind the head ___ of flexion is necessary

A

140 ⁰

47
Q

Eating requires ___-___ degrees of shoulder abduction

A

45-60º

48
Q

To reach Perineum, __-__Hor Abd is necessary abd, 90+º IR

A

75-90º

49
Q

To reach Perineum, __-__ of abduction is necessary

A

30-45º

50
Q

To reach Perineum, __ degrees of internal rotation is necessary

A

90 degrees

OCP Adults (14 decks)

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